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Related Experiment Videos

Informed consent in endoscopic sinus surgery: the patient perspective.

Jeffrey S Wolf1, Alexander G Chiu, James N Palmer

  • 1Department of Otolaryngology--Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.

The Laryngoscope
|March 4, 2005
PubMed
Summary
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Patients undergoing functional endoscopic sinus surgery (FESS) want detailed information on severe complications, even rare ones. This highlights a potential gap between patient expectations and physician communication during informed consent for FESS.

Area of Science:

  • Otolaryngology
  • Surgical Patient Education
  • Medical Ethics

Background:

  • Informed consent is crucial for patient autonomy and shared decision-making.
  • Understanding patient expectations regarding risk disclosure is essential for effective communication.

Purpose of the Study:

  • To investigate patient expectations for risk disclosure during the informed consent process for functional endoscopic sinus surgery (FESS).

Main Methods:

  • A multi-institutional, cross-sectional survey was conducted.
  • Anonymous questionnaires assessed patient preferences for information on specific FESS complications and their frequencies.

Main Results:

  • 69% of patients desired information on complications occurring as infrequently as 1 in 100 cases.
Keywords:
Empirical ApproachProfessional Patient Relationship

Related Experiment Videos

  • 90% wanted to know about risks occurring at a 1 in 10 rate.
  • High percentages of patients requested detailed information on severe complications like CSF leak, orbital injury, and infection.

    • Conclusions:

    • Patients expect comprehensive disclosure of severe functional endoscopic sinus surgery complications, irrespective of their low incidence.
    • A significant discrepancy may exist between physician and patient priorities in informed consent discussions for FESS.